VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1317287
Sex: F
Age: 45
State: MD

Vax Date: 04/24/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: On day 18 after immunization she began having L arm pain, L elbow swelling, HA,, body aches, and fever, Tmax 103F.

Other Meds: Metformin, tramadol, Fenofibrate, Atorvastatin, Glipizide, omeprazole, cyclobenzaprine

Current Illness: T2DM, HLD

ID: 1317288
Sex: F
Age: 24
State: CA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: allergic to tree nuts, sesame seeds mangos and kiwis allergic to bacitracin, amoxicillin, and ibuprofen

Symptom List:

Symptoms: Heavy nose bleed, headache, fever, soreness around body

Other Meds: 20 mg citalopram

Current Illness:

ID: 1317289
Sex: F
Age: 59
State: MI

Vax Date: 04/23/2021
Onset Date: 05/01/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Worsening HTN w/ fluid retention and blurry vision

Other Meds: Metoprolol succinate 25 mg once daily

Current Illness: N/A

ID: 1317290
Sex: F
Age: 35
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, didn't eat breakfast. The patient is taking metformin for diabetes and metoprolol for Tachycardia. The patient had COVID-19 on 12,2020 and got monoclonal antibodies infusion. pulse 94 respiration 12 spo2 96 bp 132/78 Patient took juice/snack Become normal to discharge home

Other Meds:

Current Illness:

ID: 1317291
Sex: F
Age: 63
State: FL

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Pt reports that 2 days after 1st dose, she experienced right arm soreness (pt states she has a torn rotator cuff in her left arm). The day of her 2nd dose 5/11/2021 she as experiencing some itchiness, and 1 days post 2nd dose her left arm is sore and she broke out in hives on her left arm, torso and ankle areas and reports being itchy. Pt reports she had applied Vaseline (did not help with itchiness); also applied moisturizing lotion and that seems to help a little but her torso areas are still a little itchy.

Other Meds: Ibuprofen 800 mg; Lisinopril 10 mg; Fenofibrate 145 mg; Vit D 50,000 IU; Omeprazole 20 mg; Gabapentin 300 mg; Cyclobenzaprine 10 mg; Lexapro 10 mg.

Current Illness:

ID: 1317292
Sex: F
Age: 14
State: CA

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient started vomiting after administration of first dose of Pfizer. First dose was administered at 15:16 and patient felt dizzy, c/o of headache and started vomiting right afterwards. Charge RN, ANM, and onsite provider was notified. Moved patient to triage area and her VS were as follow: BP: 96/50; HR: 73, SPO2: 98%. Patient was given a peppermint gum to chew and water. Patient felt better five minutes later. Patient stable, and released into the observation area for 30 minutes. Patient was accompanied by father d/c to home stable steady gait. Pt advised to seek emergency services for any further sx.

Other Meds:

Current Illness:

ID: 1317293
Sex: F
Age: 51
State: MO

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/14/2021
Hospital:

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Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Fatigue; chills; fever.

Other Meds: Zyrtec, Vitamin D

Current Illness:

ID: 1317294
Sex: F
Age: 41
State: MN

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None listed

Symptom List:

Symptoms: Patient started feeling "dizzy", "woozy", "seeing spots" approximately 1 hour after she received her vaccine. She stated that she was very tired. She appeared to be very sweaty and said that she "felt hot" when she took a deep breath. EMS was called and patient went to ambulance with EMTs.

Other Meds: None Stated

Current Illness: None Stated

ID: 1317295
Sex: F
Age: 40
State: MO

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/14/2021
Hospital:

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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: blister in mouth

Other Meds:

Current Illness: no

ID: 1317296
Sex: M
Age: 60
State: CA

Vax Date: 02/24/2021
Onset Date: 04/12/2021
Rec V Date: 05/14/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: presented with chest pressure and difficulty breathing 4/15/21, eventually admitted 5/6/21 for pericarditis with atrial flutter. No PE on CT chest

Other Meds: protonix, prozac, ativan, statin

Current Illness:

ID: 1317297
Sex: F
Age: 38
State: AZ

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Diarrhea, low grade fever, chills, nausea, really tired , no appetite

Other Meds: No

Current Illness: No

ID: 1317298
Sex: M
Age: 40
State: CO

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: shellfish

Symptom List:

Symptoms: patient became diaphoretic and dizzy, mild nausea hands went tingling and numb. pt was moved to well ventilated area and recovered quickly. regained color and dizziness diminished.

Other Meds: none

Current Illness: none

ID: 1317299
Sex: F
Age: 34
State: MD

Vax Date: 05/09/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1317300
Sex: F
Age: 59
State: TX

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Per patient's physician: Supraventricular Lymphadenopathy. Patient states her neck (clavicle) in very swollen and painful (size of golf ball). Should resolve itself in approximately 2 weeks.

Other Meds:

Current Illness:

ID: 1317301
Sex: M
Age: 42
State: CA

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 05/14/2021
Hospital:

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Lab Data:

Allergies: tetracycline

Symptom List:

Symptoms: Blood clots in lungs (PE).

Other Meds: none

Current Illness: none

ID: 1317302
Sex: M
Age: 68
State: CA

Vax Date: 04/27/2021
Onset Date:
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: no

Symptom List:

Symptoms: eye floaters 2 hours after shot

Other Meds: very bad eye floaters in right eye 2 hors after shot, getting worse by the day. Visited ophthalmologists, she did not have an explanation for it, but advised to report it.

Current Illness: no

ID: 1317303
Sex: F
Age: 67
State: WA

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: 4-5 days following 2nd dose, I developed tinnitus in both ears. Fluctuating in intensity but constant. No prior issues with tinnitus, no loss of hearing. Tinnitus still persists at 7 weeks. I tried decongestants and antihistamines, but I did not feel it made any impact. Planning to see ENT MD.

Other Meds: levothyroxine

Current Illness: mild seasonal allergies

ID: 1317304
Sex: F
Age: 47
State: NJ

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Dizziness, flushed, felt like I was going to pass out. Approximately 5 minutes after dose.

Other Meds: None

Current Illness: None

ID: 1317305
Sex: F
Age: 40
State: PA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: LISINOPRIL, HYDROCHLOROTHIAZIDE

Symptom List:

Symptoms: PATIENT STATES PAIN IN LEFT ARM, SHORTNESS OF BREATH, DIFFICULTY BREATHING, LIGHTHEADEDNESS/DIZZINESS AFTER ADMINISTRATION. PATIENT SAT AND THEN LIED DOWN ON FLOOR, AMBULANCE SERVICE CALLED. PATIENT DRANK WATER WHILE LYING DOWN AND STATED SHE FELT BETTER. AMBULANCE SERVICE CHECKED PATIENT OUT, OFFERED TO TAKE HER TO HOSPITAL FOR FURTHER EVALUATION, PATIENT REFUSED. PATIENT WENT HOME WITH HUSBAND ON HER OWN ACCORD.

Other Meds: LOSARTAN, ORAL BIRTH CONTROL

Current Illness: UNKNOWN

ID: 1317306
Sex: M
Age: 55
State: TN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: dairy

Symptom List:

Symptoms: Mild, overall, but definitely result of the vaccination. Just providing as an FYI. Soreness at the site of injection on my left arm starting several hours after and lasting through the next day. Took a Tylenol. Extreme lethargy/tiredness about five hours after the injection. Had to take a nap that afternoon and went to bed early. Felt normal the next day after a night's sleep.

Other Meds: none

Current Illness: none

ID: 1317307
Sex: F
Age: 64
State: KS

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient stated, "I got really sick after the second shot. My legs were so huge and full of water. Now my kidneys are failing. The vaccine brought on so much water. Now, I have high blood sugar levels and I never had that before."

Other Meds: Asprin 81mg, Lipitor 20mg, Vitamin D-2, Hydralazine 100mg,

Current Illness:

ID: 1317308
Sex: F
Age: 53
State: WA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no history taken

Symptom List:

Symptoms: Numbness and tingling in the left arm post injection, radiating up the arm.

Other Meds: no history taken

Current Illness: no history taken

ID: 1317309
Sex: F
Age: 50
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: I experienced extreme vertigo. With standing felt as though I might faint. Felt unsafe being alone

Other Meds: Tylenol, ibuprofen

Current Illness: None

ID: 1317310
Sex: M
Age: 34
State: CA

Vax Date: 04/27/2021
Onset Date: 05/01/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I received my 2nd shot of Moderna on April 27 and experienced what I believe were mild, common side effects for several days thereafter (fatigue, fever, chills). On May 1, the vaccination side effects were finished, but I was stung by a wasp. The sting site was on my arm, 2-3 inches away from where the vaccine was injected. The wasp sting became infected with puss developing immediately around the sting site and redness and itching spreading throughout the majority of my arm. I went to Urgent Care and was given a steroid injection in my glute, assigned to take Sulfamethoxazole-TMP, and told to return if symptoms worsened. The above mentioned symptoms worsened after 24 hours, so I returned to urgent care. I was given another steroid injection in my glute and assigned to take Prednisone for 3 days and Doxycycline for 10 days. After completing the 10 days of Doxycycline, the infection appears to be finally healed and all pain/itching sensations are gone. I am reporting this adverse effect to a wasp sting in case it has any relation to my immune response to the Moderna vaccine that immediately preceded it. I have been stung by bees (not wasps) numerous times in the past (as recently as 6 months ago) and never developed such an adverse reaction as this.

Other Meds:

Current Illness: My adverse event report specifically relates to a reaction to a wasp sting immediately following vaccination.

ID: 1317311
Sex: F
Age: 33
State: VA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was observed for the full 15 minutes, was released to her car. Started feeling nauseas, returned to clinic to vomit several times, became faint, hyperventilated. Cool compress applied, EMS called. Laid of floor to prevent falling. No head injury.

Other Meds: Hypertension medication-unknown name

Current Illness:

ID: 1317312
Sex: F
Age: 67
State: MN

Vax Date: 04/13/2021
Onset Date: 04/21/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Kiwi, Cefzil, Levaquin

Symptom List:

Symptoms: Sudden onset of diplopia, blurred vision on April 21, 2021 with frequent headaches and right orbital and eye pain.

Other Meds: Aspirin 81 mg,Neurontin 100mg, Prinizide 10/12.5mg, Lipitor 20mg, Nexium 40 mg, Fosamax 70mg weekly, Centrum Silver, Caltrate plus D, Tylenol,

Current Illness: Nephritis 1 month prior to vaccination Seasonal allergies

ID: 1317313
Sex: M
Age: 70
State: ME

Vax Date: 02/11/2021
Onset Date: 05/08/2021
Rec V Date: 05/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: ON 5/8, this 70 year old man was in his usual state of health when he went to bed. He was awakened with "the worst leg cramping of my life". He states that his right lower extremity tightened up and the cramping extended all the way into the foot. His leg began shaking uncontrollably. Called EMS and arrived in ED for evaluation. Noted to have labored breathing and confusion. Blood alcohol 170. Elevated D-dimer. The patient was given nebulizer treatments without significant improvement. BP 119/68, HR 76, RR 19. oxygen sat 96% on room air. Speaking in short sentences, audible wheezing. CT angiogram with contrast: findings suspiscious for pulmonary embolism, involving segmental branches of both lungs. No large central embolism identified. Patient started on apixaban. No signs of hemodynamic compromise. Plan 3 months anticoagulation.

Other Meds: Advair diskus 100/50 1 puff twice daily, albuterol inhaler 2 ppuffs every 4 hours as needed, amlodipine 10mg daily, lisinopril 10mg daily, meloxicam 7.5mg daily metoprolol succinate 25mg ER daily, mirtazapine 15mg at bedtime, oxybutynin 5mg

Current Illness: COPD, tobacco abuse, chronic alcohol abuse, GERD, BPH, HTN

ID: 1317314
Sex: F
Age: 14
State: NC

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Zithromax

Symptom List:

Symptoms: Shallow breathing, low blood pressure, loss of consciousness, itchiness at site of injection.

Other Meds: N/a

Current Illness: None

ID: 1317315
Sex: M
Age: 36
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Aches, chills, headache, fatigue

Other Meds: None

Current Illness: None

ID: 1317316
Sex: M
Age: 60
State: CO

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 05/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: About 1 week following first Pfizer vaccination, I began having achiness in left leg and thought this was possibly from sitting in a chair without enough cushion. I simply could not get leg comfortable. Over a couple days duration the leg continued to be achy and slightly swollen. On December 23rd at night I awoke due to such discomfort in leg and could not get comfortable enough to go to sleep. I went to ED where I was examined and found to be mildly short of breath and in pain. Ultrasound of leg showed large upper leg DVT. CT of chest showed submassive Pulmonary Horseshoe Embolus. I was placed on Heparin and anticoagulated. Hospitalized for several days while anticoagulated and observed for any clot progression or respiratory distress and discharged home on Xarelto for anticoagulation and follow up with PCP, Hematology, Pulmonary medicine.

Other Meds: Allopurinol, Metformin, Prilosec

Current Illness: None

ID: 1317317
Sex: M
Age: 26
State: FL

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Severe, Additional Details: pt fainted and fell to floor, was bleeding from nose- was picked up by ambulance following

Other Meds:

Current Illness:

ID: 1317318
Sex: F
Age: 17
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: na

Symptom List:

Symptoms: Pt was 17 years old when vaccinated, verbal consent received from patient's guardian to proceed with vaccination.

Other Meds: na

Current Illness: na

ID: 1317319
Sex: F
Age: 33
State: IL

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Amoxicillin Penicillin Sulfa Antibiotics Grapefruit

Symptom List:

Symptoms: Extreme lightheadedness. Radiating pain from arm all the way up to base of head. Nausea and fatigue. Chills to the point where my teeth were chattering. Lack of focus and attention.

Other Meds: Lantus Insulin One A Day women?s multivitamin Paxil 40mg Super B Complex 3000 iu vitamin D3

Current Illness: None

ID: 1317320
Sex: F
Age: 19
State: IL

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received the vaccine and asked to sit down to wait for 15 minute observation period. Pharmacy staff heard the patient fall and hit the ground. Pharmacist, reached patient first followed by pharmacist. Patient was visualized on the ground with eyes open. Visualized the patient's neck bent backwards and muscles rigid including neck and arms. Went to get cold compress while stayed with the patient. At the same time, 911 was contacted by the pharmacy staff and a fire fighter in the pharmacy area was brought over to assist. Assisted the patient to a sitting position and noticed her pupils to be dilated. Returned with cold compress for neck and forehead. Went to get cold water while comforted the patient. Fire fighters present took the patient's vitals and blood sugar and all was within normal limits. Further questions with the patient found that she had not eaten breakfast or lunch that day. She also indicated that she had passed out before at a concert while dehydrated in the past. She had not passed out or reacted to any previous injections or vaccines.

Other Meds:

Current Illness:

ID: 1317321
Sex: F
Age: 73
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 05/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Lidocaine infusion, Nexfidaline, off balance and stroke-like, other sensitivities to medication due to chronic condition.

Symptom List:

Symptoms: She got her vaccine, she got very hot and sweaty within 10 minutes. She was still filling out her form for the next vaccine. She asked a paramedic some questions, and asked if anybody else had reported anybody get hot and sweaty and he directed her to go to the open door and drink some water and rest. He asked if somebody could check her out, and came back again and asked again and they hooked her up to some electrodes and called the ambulance (somewhat foggy memory). She was having a lot of palpitations which included PVC's, and possibly other heart arrhythmias at the same time. He got to the hospital and could tell that she was going to the trauma room and they were waiting on her. She had an Echocardiogram which showed that her left bundle branch was not working, her Troponin's were going up and went from very low to high and then started trending down again. She had a cardiac cath and was told that she had nothing wrong with her heart and had a heart of a child. They mentioned Takotsubo's cardiomyopathy and wanted to do another in 6-8 weeks, which she had done and it is totally back to normal. Her blood pressure was fluctuant between high and low. When she was discharged home on the 4th day she had severe diarrhea. She was put on Plavix 75 mg, they upped her Metoprolol XL 25 mg to twice a day, they also gave her Lipitor to take briefly. They took her off baby aspirin. The recent echocardiogram was back to normal. She was told she could not get the 2nd vaccine either.

Other Meds: Levothyroxine, Hydromorphone, Prilosec, Diazepam (prn), Oxcarbazepine, Vitamin C, calcium D3., Toprol XL.

Current Illness: None.

ID: 1317322
Sex: M
Age: 17
State: MA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1317323
Sex: F
Age: 42
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 05/14/2021
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Allergies: None

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Symptoms: 12 hours of expected side effects (fever, aches, flu-like symptoms) followed by persistent and constant bilateral tinnitus. Originally treated for ear infection (antibiotics), then with steroids and anti-histimine. No improvements

Other Meds: None

Current Illness: None

ID: 1317324
Sex: F
Age: 20
State: MD

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: None

Symptom List:

Symptoms: Dizziness after injection; self-resolved after 5 minutes

Other Meds: None

Current Illness: None

ID: 1317325
Sex: M
Age: 27
State: MA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
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Symptoms: Patient receive dose a week too early.

Other Meds:

Current Illness:

ID: 1317326
Sex: F
Age: 38
State:

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
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Allergies: none

Symptom List:

Symptoms: Moderna vax taken and started getting chest pains. Went to ER. Doc thought blood clots in the lungs. diagonostics revealed inflamation in the lungs

Other Meds: none

Current Illness: none

ID: 1317327
Sex: F
Age: 53
State: CA

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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Symptoms: Dizziness; feeling anxious. BP 133/64; HR 60; RR 24. Instructed to relax & increase PO fluids. Given 2500ml water. Pt stated feels better; released from vaccination site & recommended to f/u with PCP

Other Meds:

Current Illness:

ID: 1317328
Sex: F
Age: 62
State: MO

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: choline fenofibrate - headache

Symptom List:

Symptoms: Patient reported as experiencing some vertigo prior to vaccination. Approximately 10 minutes post-vaccine, patient experienced a witnessed tonic-clonic like reaction. Vitals: 150/90, pulse 120, SaO2: 95%. Patient was postictal approximately 10 minutes post onset. No meds given. EMS notified. Transferred to the hospital.

Other Meds: hydroxyzine, alprazolam, quetiapine, venlafaxine, lipitor, triamterene-hct, valacyclovir, zolpidem, hydrocodone, tizanadine

Current Illness: n/a

ID: 1317329
Sex: F
Age: 20
State: WA

Vax Date: 04/14/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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Allergies: Nseds, lactose intolerant, gluten intolerant

Symptom List:

Symptoms: After my second shot of moderna, I felt okay but towards the night I felt very restless. I looked up if restlessness is a side affect of the shot but I didn?t come up with anything. It said fatigue which I had after the first shot but this one I didn?t fall asleep until 5:30 AM. I also had cramps like period cramps as if my lungs dropped to my pelvic.

Other Meds: Magnesium 500 mg, D3, fish oil, b-complex, c-complex, sertraline 150mg, extended release clonidine 0.3 mg, birth control

Current Illness:

ID: 1317330
Sex: F
Age: 51
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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Symptoms: Patient received first dose of Moderna on 03/18/2021 and received second dose on 04/01/2021 - being too soon to receive second dose of vaccine.

Other Meds:

Current Illness:

ID: 1317331
Sex: F
Age: 58
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 05/14/2021
Hospital: Y

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Allergies: Amoxicillin

Symptom List:

Symptoms: 01/20/21- achy fevers ibuprofen- developed chills - temp 100.3, 01/21/21- fever 103- horrible headaches, went to hospital- tackycardia, low BP, lactic acid increases, met criteria for sepsis admitted. 01/23/21- discharged from hospital, arm of injection sweling, lymph nodes swollen,

Other Meds: unknown

Current Illness: Patient had Covid 60 days prior and ill again first week of December

ID: 1317332
Sex: F
Age: 18
State: NC

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: History of flu shot allergy

Symptom List:

Symptoms: Patient received her 1st Covid vaccine today, with a known history of anaphylaxis to the flu shot 6 months prior. She was assigned a 30 minute wait time. She received her vaccine at 1225 on 14May2021, and approximately 15 minutes later developed itchiness around her mouth and face. She reported this felt similar to the beginning of her prior episode. Physician and nurse were notified, who evaluated patient. Patient?s airway was clear, respirations unlabored and normal to auscultation. Vitals were within normal limits. EMS was notified, and 50mg Benadryl was given at 1255. At this time patient?s reaction appeared minor and stable, so epipen was at patient?s side however not given yet. EMS arrived rapidly, and repeated eval, confirming same evaluation and history. Patient was transferred in stable condition to the ER for extended monitoring.

Other Meds: Nortriptyline

Current Illness:

ID: 1317333
Sex: F
Age: 68
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
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Symptoms: Chills for 3 hours followed by fever up to 101.9 for a couple of hours Tylenol brought it down to normal lasted abouth 14 hours total

Other Meds: statin

Current Illness:

ID: 1317334
Sex: M
Age: 21
State: MI

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: about 10 minutes after receiving the vaccine the patient started sweating and vomiting

Other Meds:

Current Illness:

ID: 1317335
Sex: F
Age: 36
State: OH

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 05/14/2021
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Allergies: Eggs, Milk, Leaves, Grass, weeds

Symptom List:

Symptoms: Rash on both arms, chest and face. Used over the counter allergy meds and creams.

Other Meds: None

Current Illness: None

ID: 1317336
Sex: M
Age: 24
State: FL

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Symptoms: dizziness, faint, low blood pressure, sweating. patient laid down and put legs up on a chair, blood pressure returned to normal and patient felt better

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm